Neck and Chin
The neck is an aesthetically important area complimenting the face, and may be as important as the face in revealing one’s age. The neck is subject to many degenerative changes such as loss of collagen and elastin, accumulation of unwanted fat, and from external factors such as ultraviolet radiation. The neck and the décolletage area are particularly prone to premature ageing because these are areas of increased sun exposure. Come learn about the various remedies at Castleknock Cosmetic Clinic, Dublin.
Traditionally, neck rejuvenation has been performed surgically to help to re-position lax skin, reduce wrinkles, and to reduce redundant fatty tissues. Non-surgical neck rejuvenation has an adjudicative role to surgery and is also an alternative to surgery. Non-surgical procedures can also address the skin texture of the neck and décolletage whereas surgical procedures are unable to address this issue.
With an increasing need for minimally invasive procedures with little or no downtime, there has been a trend towards non-surgical neck rejuvenation.
Various methods can be used to rejuvenate the skin and underlying tissues in the neck at the Dublin based cosmetic clinic. The first step is to prevent further damage by daily use of appropriate skincare including sunscreen on the neck, décolletage and hands and not just the face.
Skin texture can then be addressed. The neck and decolletage are areas of the skin that may be highly exposed to UV radiation, and this causes progressive degenerative changes in the skin. These include:
Pigmentation, appearing as brown patches, can appear as a result of sun exposure. Also, solar (actinic) keratosis are red and scaly patches that are pre-cancerous lesions that may appear over time with cumulative sun exposure – especially on fairer skin types. The treatment of solar keratosis is not only cosmetic, but also preventative as these are pre-malignant lesions.
The tissues of the neck are usually thinner and more sensitive than that of the face, and need to be treated more cautiously. Chemical peels may be used to help exfoliate dead skin cells and reduce pigmentation and solar damage. Skin care containing retinoic acid or hydroquinone can also help, but can be very irritating in this area in comparison to their effect on the face.
Laser is another means of helping to reduce brown pigmentation. The Broad Band Laser emits a green wavelength of light that is attracted to the brown pigmentation on the neck and helps to break down this pigmentation. Lasers such as the Palomar MediLux Laser and IPL can also be used for brown spots on the neck and chest area. For solar keratosis, photodynamic therapy can be implemented. Photodynamic therapy is particularly targeted to solar keratosis.
Fractional CO2 Laser treatments can be used for resurfacing the neck and to help with skin texture, wrinkles and to tighten neck skin. Carbon dioxide lasers are lasers that ablate the top layers of the skin and cause it to regenerate with fewer wrinkles and improved tightness. With fractional carbon dioxide lasers, small columns of laser are fired into the skin and parts of the skin in between these columns are left untreated. This helps to reduce the risk of treatment, and allows for much safer treatment of off-face areas than traditional (non-fractional) carbon dioxide lasers.
Poikiloderma of Civatte
Poikiloderma of Civatte is a condition that causes a red-brown discolouration on the side of the neck. The redness represents superficial capillaries and the brown discolouration is overlying pigmentation. The area that is shaded by the chin is usually spared. Poikiloderma is exacerbated by UV exposure, but the underlying cause is not known. Perfumes and various cosmetics have been implicated, as well as hormonal causes like low oestrogen levels. People with a family history of poikiloderma of Civatte as well as fair-skinned individuals are more likely to develop this condition.
Avoidance of potential causes of poikiloderma of Civatte such as perfumes, UV radiation, and various cosmetics is the first step in treating the poikiloderma.
Poikiloderma is then best treated with the AntiLax Skin Tightening and Broad Band Laser combination. This helps to tighten the skin and reduce the pigmentation by closing off any superficial capillaries causing the redness. The wavelengths from these lasers are specifically attracted to the capillaries and pigmentation, and hence normal skin is relatively unaffected.
Double Chin | VASER Lipo
Excess neck fat has traditionally been treated with liposuction. This is the most effective means of removing the fat from under the chin and around the neck. VASER Lipo technology has revolutionised the neck liposuction procedure. VASER Lipo can be done under local anaesthetic with or without sedation, and usually takes about 2 hours to perform. There is usually profound retraction of neck skin when VASER Liposuction is performed in addition to the removal of fat.
Lipodissolve is a relatively new method of treating neck fat by injection. Lipodissolve helps breakdown the fat in the neck area. There is some associated swelling post-treatment. The key advantages of Lipodissolve are that it helps tighten the skin, and is uniform in its results. Recently, the FDA approved the use of Kybella for the specific treatment of the submental (neck) region.
The neck/chin is one of the best areas for treatment with Lipodissolve as the amount of fat here is usually less than other areas of the body, and the results are more dramatic as a result. For those who don’t want to undergo surgical procedures, Lipodissolve injections are an alternative remedy. Lipodissolve has now been proven in obtaining reduction in the amount of fat accompanied by natural skin contraction. A number of sessions are required spaced at 6 weekly intervals gradually reducing and tightening the affected fatty neck areas.
Skin laxity of the neck is best treated with mini lift procedure. For those who don’t want to undergo full surgical procedures, minimally invasive surgical methods are deployed give similar results of without the extended downtime. Skin tightening methods such as using machines like the AntiLax uses infrared laser waves and radio-frequency to help heat the skin and stimulate collagen. The effects are usually subtle. Anothe method is using multipolar radiofrequency treatment which gently heats the skin in an effort to induce contraction.
Suture lifting (Contour threads, Silhouette threads, Aptos threads), is a method of lifting the skin by placing a suture under the skin to pull the skin tight. The effect of these methods has been found to rejuvenate the neck for 2 years at a time. The procedures are minimally invasive and could easily be reproducible.
Skin tags, or acrochordons, are generally benign growths of skin that commonly occur on the neck, armpits, and groin. They are usually from 1 to 5 mm in size, and appear as a small outgrowth of skin, connected by a small narrow stalk.
Smaller skin tags can be removed by the CO2 laser. Often 1 treatment are required and this is an excellent treatment for those who have multiple small skin tags, as it causes minimal disruption to the normal skin.
For larger skin tags, radiowave surgery in the form of short wave diathermy (SWD) is preferred. This involves the use of high radio-frequency technology to cut off the skin tag. No sutures are required using this method.
Vertical neck bands
Vertical neck bands are caused by changes in the platysma muscle which is the band of muscles from the collar bone to the jawline and can normally be seen when the teeth are clenched hard. This muscle, with time, can separate into bands and this can be aesthetically undesirable.
Anti-wrinkle injections can be injected into these bands to help flatten them. Anti-wrinkle injections can also be injected into the areas where bands are not present to help reduce the downward pull of the platysma muscle on the face. A resulting lift in the face can often result. In addition to stopping the platysmal bands from forming, some injections can be placed along the jawline to help stop the pull of these muscles on the face and therefore help to lift the face.
Horizontal neck Lines
Horizontal neck lines are creases in the skin of the neck caused by movement of the neck which creases the skin over time.
These bands can be treated with anti-wrinkle injections, although the success of this procedure is low. A more effective treatment for these lines is with dermal fillers. Depending on the size of the line, an appropriate dermal filler can be injected into the lines to help fill them out. Skin tightening with AntiLax machine using infrared laser and radiofrequency energy is ideal for those not too deep neck lines. Normally 3 to 5 sessions are recommended and the results are long lasting.
The cost of treatment depend on the method/s chosen. Combination treatments are sometimes necessary. For exact pricing why not avail of a complementary consultation with Dr Hazem Kahlout. During the consultation he will assess your individual needs and guide you as to the best option for you.
Broad Band Laser €150 / Session
Dermal Fillers €350
Lipodissolve €250 / Session
Toxin Injections €350
AntiLax Skin Tightening €350 / Session
VASER Lipo €2500